How much rates vary
Facilitymedian $120 · 10th to 90th $35 to $234Professionalmedian $38 · 10th to 90th $31 to $141
Distribution of negotiated rates across all payers (price axis is log-scale). Need provider-level prices or 24+ months of history? Contact us.
Rates by insurance carrier
| Insurance Carrier | Facility/Professional | Modifier | Typical Low | Median | Typical High |
|---|---|---|---|---|---|
Aetna Setting Facility Modifier None Typical Low $30.90 Median $30.90 Typical High $30.90 | Facility | None | $30.90 | $30.90 | $30.90 |
Aetna Setting Professional Modifier None Typical Low $30.90 Median $30.90 Typical High $61.66 | Professional | None | $30.90 | $30.90 | $61.66 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $15.49 Median $15.49 Typical High $30.90 | Professional | 52 · Reduced service | $15.49 | $15.49 | $30.90 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $6.17 Median $6.17 Typical High $12.30 | Professional | 53 · Discontinued | $6.17 | $6.17 | $12.30 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $4.68 Median $4.68 Typical High $9.33 | Professional | 55 · Aftercare only | $4.68 | $4.68 | $9.33 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $3.09 Median $3.09 Typical High $6.17 | Professional | 56 · Pre-op care only | $3.09 | $3.09 | $6.17 |
Anthem BCBS Setting Facility Modifier None Typical Low $38.02 Median $128.82 Typical High $251.19 | Facility | None | $38.02 | $128.82 | $251.19 |
Anthem BCBS Setting Professional Modifier None Typical Low $38.02 Median $38.02 Typical High $38.02 | Professional | None | $38.02 | $38.02 | $38.02 |
Blue Shield Setting Facility Modifier None Typical Low $74.13 Median $109.65 Typical High $186.21 | Facility | None | $74.13 | $109.65 | $186.21 |
Blue Shield Setting Professional Modifier None Typical Low $85.11 Median $194.98 Typical High $323.59 | Professional | None | $85.11 | $194.98 | $323.59 |
Cigna Setting Professional Modifier None Typical Low $37.15 Median $37.15 Typical High $37.15 | Professional | None | $37.15 | $37.15 | $37.15 |
Contra Costa Health Setting Professional Modifier None Typical Low $25.12 Median $37.15 Typical High $85.11 | Professional | None | $25.12 | $37.15 | $85.11 |
Kaiser Permanente Setting Professional Modifier None Typical Low $66.07 Median $69.18 Typical High $100.00 | Professional | None | $66.07 | $69.18 | $100.00 |
Lucent Health Setting Professional Modifier None Typical Low $489.78 Median $489.78 Typical High $741.31 | Professional | None | $489.78 | $489.78 | $741.31 |
Providence Setting Facility Modifier None Typical Low $30.90 Median $66.07 Typical High $117.49 | Facility | None | $30.90 | $66.07 | $117.49 |
Providence Setting Professional Modifier None Typical Low $37.15 Median $37.15 Typical High $37.15 | Professional | None | $37.15 | $37.15 | $37.15 |
Sutter Health Plus Setting Professional Modifier None Typical Low $141.25 Median $141.25 Typical High $141.25 | Professional | None | $141.25 | $141.25 | $141.25 |
United Setting Facility Modifier None Typical Low $87.10 Median $87.10 Typical High $102.33 | Facility | None | $87.10 | $87.10 | $102.33 |
United Setting Professional Modifier None Typical Low $10.96 Median $37.15 Typical High $72.44 | Professional | None | $10.96 | $37.15 | $72.44 |
Where California sits
The same service costs 2.6 times more in Montana than in Nebraska. Every bar is a state, most expensive first. Touch or drag across it to read any state, then open that state for its carriers and full range.
California· 49th of 51
$38.02
MT $97.72NE $37.15
Median negotiated rate in each state, from every insurer that publishes one. States where no insurer publishes a rate for this service are not shown.